Organization
LAKEWOOD HEALTH CENTER
Active
Other names
LakeWood Health Center Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRAY A PALM (CEO)
(218) 634-3401
Entity
Organization
Contact information
Practice address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-1307
Mailing address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-1307
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
331065
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535ETR
BLUE CROSS
MN
Enumeration date
02/17/2006
Last updated
08/22/2020
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